Transcript Alcohol Relapse Prevention Project

Alcohol Relapse Prevention
Project
Bolton NHS
How we got off the ground?
• Over 16 years working relationship between
d2 Digital and Bolton Drugs and Alcohol
Commissioners
• Issues faced in the alcohol sector
• Opportunity from the Health Foundation to
participate in Shine 2011
Idea proposed- Alcohol Relapse
Prevention using mobile
Behaviour change
+
Persuasive Technologies
The choice of mobile phone technology as an engagement medium to
monitor and help prevent relapse is fairly radical and to our knowledge no
similar study has been presented in the alcohol field worldwide.
Project objectives
1. Increase client engagement and retention
with the aftercare programmes from 42% to
75% during the 12 month of the pilot project
scheme.
2. Decrease re-referral rates within 12 months
by 4%
3. Reduce costs to healthcare services due to
avoidance of repeated detoxification and
service costs.
Engagement process
Engagement process
Engagement process
Web based monitoring system
Web based monitoring system
Web based monitoring system
Results- engagement rates
Period – April 2011 to end Feb 2012
Indicator
Measure
Target
Baseline
Annual Totals
Number of people
recruited for Shine
Project Dashboard
(web database)
118
N/A
89
Number of people
recruited NON-Shine
Alcohol Service
Outcome monitoring
tool
N/A
N/A
84
Engagement rates with
CAT (Shine clients)
Project Dashboard
(web database)
75%
42%
72% (64)
Engagement rates with
CAT (non-shine)
Alcohol Service
Outcome monitoring
tool
N/A
N/A
57% (48)
Transfer CAT to ADS
Project Dashboard
(web database)
50%
17%
100% (64)
Results- re-referral rates*
Total
Re-referrals
SHINE Clients
89
2
Non SHINE Clients
84
8
Non Shine Clients
Shine Clients
2%
9%
98%
91%
Non Re - Referrals
Re - Referrals
Non Re - Referrals
Re - Referrals
*Using chi square test p<0.05 the re-referral rate counts as significant.
Results- cost savings
The Category 3 (worst) case cost £47,415 *
The Category 2 (likely) case cost £19,912 *
The Category 1 (best) case cost £14,326 *
*We based our cost analysis on client data that
is available to the CAT. We identified 3 broad
categories of client based on complexity of need
Results- cost savings
Numbers
Re-referrals
All
173
10
5.8%
Shine cohort
89
2
2.2%
Non Shine cohort
84
8
9.5%
Step 1
173
9.5%
16.5 A
173
2.2%
3.9 B
Step 2
Step 3
12.6 C
Results- cost savings
10 Re-referrals
Worst case history
Likely case history
£474,150
£199,120
Best case history
£143,260
Detox £500
Detox £15,000
£5,000
£150,000
The most important…
Future
• Extended pilot in Bolton till December 2012
• Further investment in the system
development to enhance the personalisation
and adaptability for other health sectors
• Plans to expand in
– Drugs field
– Obesity and Diabetes
Thank you
Graham Mallinson- [email protected]
Renate Kalnina- [email protected]
Debra Malone- [email protected]
Julie Aulton- [email protected]